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PDF INTERNATIONAL STANDARDS FOR NEUROLOGICAL CLASSIFICATION OF

the ASIA Impairment Scale grade and/or the zone of partial preservation (ZPP) when they are unable to be determined based on the examination results Muscle Function Grading ASIA Impairment Scale (AIS) Steps in Classification Sensory Grading When to Test Non-Key Muscles: 0 = Total paralysis 1 = Palpable or visible contraction

PDF Elbow flexorsRIGHT Elbow flexors LEFT Wrist extensors UER C4

ASIA Impairment Scale (AIS) Steps in Classification The following order is recommended for determining the classification of individuals with SCI 1 Determine sensory levels for right and left sides The sensory level is the most caudal intact dermatome for both pin prick and light touch sensation 2 Determine motor levels for right and

PDF ISNCSCI / ASIA Examination & Cases

ASIA Examination Sensory level Motor level Neurological level of injury (NLI) Complete vs Incomplete injury Sacral sparing Zone of Partial Preservation (complete injuries) Sensory Level 28key dermatomes Test light touch and pinprick Face is used as control

PDF Classifications In Brief: American Spinal Injury Association

A Publication of The Association of Bone and Joint Surgeons® IN BRIEF

PDF STANDARD NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY

If voluntary anal contraction = NoAND all S4-5 sensory scores = 0 AND any anal sensation = No then injury is COMPLETE Otherwise injury is incomplete 5 Determine ASIA Impairment Scale (AIS) Grade: Is injury Complete? If YES AIS=A Record ZPP (For ZPP record lowest dermatome or myotome on each side with some (non-zero score) preservation) Is

ClinicalOrthopaedics and Related Research®

A Publication of The Association of Bone and Joint Surgeons® IN BRIEF upload.orthobullets.com

Limitations

The most fundamental limitation of the AIS may be obvious given its title: it is an impairment scale that does not report the objective anatomic nature of the causal injury. It also does not determine injury severity. For example, a complete AIS Grade A injury in the lower lumbar spine can lead to bowel or bladder dysfunction with foot-drop, but an

Conclusions and Uses

A spinal cord injury is a relatively common occurrence with devastating complications. When examining a patient with spinal cord injuries, a detailed and carefully per-formed neurologic assessment is paramount. Testing consists of motor strength and sensory function at various key myotomes and dermatomes. The purpose of the AIS is to (1) standardiz

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